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Based on the findings of research studies and on the author's long experience of working with people with dementia, this work provides updated perspectives on the condition. It shows how evidence is lacking to support the model of dementia as a disease, and explores the possibilities of psychological intervention for remediable or enduring cognitive losses. Taking an honest look at what we really know about dementia and how we can learn more, this should be useful reading for medical and mental health practitioners, researchers and students working in the field.